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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
71300-6624-02 | J0171 | INJECTION, ADRENALIN, EPINEPHRINE, 0.1 MG | EPINEPHRINE (PF) 0.1 MG/0.1 ML | IJ |
71336-1000-01 | J0222 | INJECTION, PATISIRAN, 0.1 MG | ONPATTRO (PF,LATEX-FREE) 2 MG/1 ML | IV |
71336-1002-01 | J0224 | INJECTION, LUMASIRAN, 0.5 MG | OXLUMO (SDV,PF,LATEX-FREE) 94.5 MG/0.5 ML | SC |
71336-1003-01 | J0225 | INJECTION, VUTRISIRAN, 1 MG | AMVUTTRA (PF,LATEX-FREE) 25 MG/0.5 ML | SC |
71351-0022-10 | J0665 | INJECTION, BUPIVACAINE, NOT OTHERWISE SPECIFIED, 0.5 MG | BUPIVACAINE HCL (SPINAL,PF,LATEX-FREE) 0.75% | IJ |
71351-0022-10 | J3490 | UNCLASSIFIED DRUGS | BUPIVACAINE HCL (SPINAL,PF,LATEX-FREE) 0.75% | IJ |
71390-0011-11 | J2249 | INJECTION, REMIMAZOLAM, 1 MG | BYFAVO (LYOPHILIZED) 20 MG | IV |
71449-0124-83 | J2795 | INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG | ROPIVACAINE HCL (PF) 2 MG/1 ML | IJ |
71715-0001-01 | J0121 | INJECTION, OMADACYCLINE, 1 MG | NUZYRA (LYOPHILIZED) 100 MG | IV |
71715-0001-02 | J0121 | INJECTION, OMADACYCLINE, 1 MG | NUZYRA (LYOPHILIZED) 100 MG | IV |
71754-0001-01 | J0171 | INJECTION, ADRENALIN, EPINEPHRINE, 0.1 MG | EPINEPHRINE CONVENIENCE KIT (1 CONVENIENCE KITS) 1 MG/1 ML | IJ |
71754-0001-05 | J0171 | INJECTION, ADRENALIN, EPINEPHRINE, 0.1 MG | EPINEPHRINE CONVENIENCE KIT (5 CONVENIENCE KITS) 1 MG/1 ML | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
K0831 | Power Wheelchair, Group 2 Standard, Seat Elevator, Captains Chair, Patient Weight Capacity Up To And Including 300 Pounds | Each | Y |
K0831 RR | Power Wheelchair, Group 2 Standard, Seat Elevator, Captains Chair, Patient Weight Capacity Up To And Including 300 Pounds | Day | Y |
K0835 | Power Wheelchair, Group 2 Standard, Single Power Option, Sling/Solid Seat/Back, Patient Weight Capacity Up To And Including 300 Pounds | Each | Y |
K0835 RR | Power Wheelchair, Group 2 Standard, Single Power Option, Sling/Solid Seat/Back, Patient Weight Capacity Up To And Including 300 Pounds | Day | Y |
K0836 | Power Wheelchair, Group 2 Standard, Single Power Option, Captains Chair, Patient Weight Capacity Up To And Including 300 Pounds | Each | Y |
K0836 RR | Power Wheelchair, Group 2 Standard, Single Power Option, Captains Chair, Patient Weight Capacity Up To And Including 300 Pounds | Day | Y |
K0837 | Power Wheelchair, Group 2 Heavy Duty, Single Power Option, Sling/Solid Seat/Back, Patient Weight Capacity 301 To 450 Pounds | Each | Y |
K0837 RR | Power Wheelchair, Group 2 Heavy Duty, Single Power Option, Sling/Solid Seat/Back, Patient Weight Capacity 301 To 450 Pounds | Day | Y |
K0838 | Power Wheelchair, Group 2 Heavy Duty, Single Power Option, Captains Chair, Patient Weight Capacity 301 To 450 Pounds | Each | Y |
K0838 RR | Power Wheelchair, Group 2 Heavy Duty, Single Power Option, Captains Chair, Patient Weight Capacity 301 To 450 Pounds | Day | Y |
K0839 | Power Wheelchair, Group 2 Very Heavy Duty, Single Power Option, Sling/Solid Seat/Back, Patient Weight Capacity 451 To 600 Pounds | Each | Y |
K0839 RR | Power Wheelchair, Group 2 Very Heavy Duty, Single Power Option, Sling/Solid Seat/Back, Patient Weight Capacity 451 To 600 Pounds | Day | Y |
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